| NPI | 1518651108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4351051576) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4351051576) |
| Enumeration Date | 2023-06-06 |
| Last Update Date | 2024-07-18 |